International journal of pediatric otorhinolaryngology最新文献

{"title":"Implementation of Child Life Specialists to improve outcomes in flexible endoscopic evaluation of swallowing in children","authors":"Beth Osterbauer ,&nbsp;Yvonne Adigwu ,&nbsp;Sheng Zhou ,&nbsp;Katy Peck ,&nbsp;Avital Abraham ,&nbsp;Christian Hochstim","doi":"10.1016/j.ijporl.2025.112266","DOIUrl":"10.1016/j.ijporl.2025.112266","url":null,"abstract":"<div><h3>Background</h3><div>Dysphagia and feeding difficulties are common problems in children, and Flexible Endoscopic Evaluation of Swallowing (FEES) is a modality for evaluating pharyngeal swallow function through a transnasal flexible fiberoptic laryngoscopy.</div></div><div><h3>Objective</h3><div>Due to the concerns around participation and its impact on successfully completing FEES in children, we began utilizing Child Life Specialists (CLS) for FEES procedures and a concurrent implementation research study was launched to measure the impact CLS interventions had on participation rates of children undergoing FEES.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted, collecting patient demographics, participation rates and presence of CLS for all FEES conducted in the study period. To compare children undergoing FEES with the benefit of CLS and those without a CLS present, two by two comparisons were conducted using Student's T-test and Pearson's Chi Squared test.</div></div><div><h3>Results</h3><div>During the study period 196 children had a FEES with a median age of 2 years (range 2 weeks–17.8 years). Overall, 89 % of children cooperated with the procedure, and in children over the age of 5 years, 99 % of children cooperated. Presence of CLS did not seem to affect cooperation rates in our study.</div></div><div><h3>Conclusion</h3><div>The addition of CLS services to the FEES team did not appear to improve participation rates in the current study, however more subtle potential impacts on procedural satisfaction/comfort were not assessed. Our results point to the need for additional work to standardize protocols in pediatric FEES to ensure not only improved participation, but a comfortable patient/family experience.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112266"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision aid for pediatric sleep disordered breathing: A randomized trial","authors":"Purcell Chad ,&nbsp;Corsten Gerard ,&nbsp;Hong Paul","doi":"10.1016/j.ijporl.2025.112269","DOIUrl":"10.1016/j.ijporl.2025.112269","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess whether a decision aid (DA) can increase parental perceptions of shared decision making and reduce decisional conflict.</div></div><div><h3>Study design</h3><div>Prospective randomized controlled trial.</div></div><div><h3>Setting</h3><div>January 2017–June 2018 Single-Center Tertiary Pediatric Otolaryngology Practice in Halifax Nova Scotia, Canada.</div></div><div><h3>Methods</h3><div>English-speaking parents of children younger than 6 years with mild to moderate SDB were included. Parents were randomized to the intervention, with in-person consultation using the DA or the control group, without the DA. Outcomes measured were the decisional conflict scale (DCS), shared decision-making questionnaire (SDM-Q-9) and the OPTION instrument. Descriptive, parametric and non-parametric analyses were performed where appropriate. Spearman's r correlations were used to examine the relation between outcome measures.</div></div><div><h3>Results</h3><div>101 parents were included (n = 50 DA/51 control). Parents who used the DA reported lower median DCS scores (6.50 vs. 19.25; p = 0.005) and higher SDM-Q-9 scores (93.59 vs. 80.74; p = 0.035). The DCS scores were significantly negatively correlated to SDM-Q-9 scores (Spearman's r = −0.680; p &lt; 0.001). No significant differences were found in mean OPTION scores between groups. SDM-Q-9 and OPTION scores were positively correlated (Spearman's r = 0.590; p &lt; 0.010).</div></div><div><h3>Conclusion</h3><div>Parents using our DA reported lower levels of decisional conflict and greater perceived involvement in the decision-making process for their children with SDB.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"191 ","pages":"Article 112269"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abbe-Estlander flap reconstruction in infants with extensive upper lip defects following oncosurgery: Two case reports","authors":"Wei-Liang Chen ,&nbsp;Dao-Wei Lin ,&nbsp;Zi-Xian Huang ,&nbsp;Bin Zhou ,&nbsp;Rui Chen","doi":"10.1016/j.ijporl.2025.112252","DOIUrl":"10.1016/j.ijporl.2025.112252","url":null,"abstract":"<div><h3>Background</h3><div>Surgical resection of malignant lip tumors and the reconstruction of extensive lip defects in infants pose significant challenges. We evaluated the effectiveness of the Abbe-Estlander (A-E) flap in repairing upper lip defects in infants following oncosurgery.</div></div><div><h3>Case presentation</h3><div>We present two cases of pediatric upper lip malignancies: an 18-month-old infant diagnosed with fibrosarcoma (FS) of the right upper lip (Case 1) and a 19-month-old infant diagnosed with rhabdomyosarcoma (RMS) of the left upper lip (Case 2). Both patients underwent surgical resection of the tumors followed by reconstruction of large upper lip defects using the A-E flap under general anesthesia via nasotracheal intubation. No complications were reported during the procedures. Postoperatively, neither patient received adjuvant chemotherapy. Both patients demonstrated acceptable aesthetic outcomes. Case 1 could use a straw, whereas Case 2 could breastfeed. At the 32- and 18-month follow-up, no recurrences were observed.</div></div><div><h3>Conclusion</h3><div>Surgical resection, followed by reconstruction with an A-E flap, is an effective and safe treatment for these tumors in infants. In addition, general anesthesia via nasotracheal intubation is a reliable anesthetic technique for these procedures.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112252"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Efficacy of endoscopic sinus surgery in patients under six years old\" [Int. J. Pediatr. Otorhinolaryngol. 188 (2025) 112213].","authors":"Chloe Harrington, Ibrahim Ibrahim, Hengameh Bezadpour, Alexandra Espinel, Habib Zalzal","doi":"10.1016/j.ijporl.2025.112256","DOIUrl":"https://doi.org/10.1016/j.ijporl.2025.112256","url":null,"abstract":"","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":" ","pages":"112256"},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of feasibility of early fitting after cochlear implantation and comparison with classical fitting method","authors":"Ahmet Cansu ,&nbsp;Muzaffer Kanlıkama ,&nbsp;Hüseyin Deniz","doi":"10.1016/j.ijporl.2025.112273","DOIUrl":"10.1016/j.ijporl.2025.112273","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the feasibility of early activation of the sound processor (1 day postoperatively) after cochlear implant surgery and to compare the electrophysiological parameters with those of the classical method (activation 1 month postoperatively).</div></div><div><h3>Method</h3><div>This prospective study included 69 patients who underwent cochlear implant surgery between March 2019 and August 2022. Patients were divided into two groups: early fitting and classic fitting (control group). In the early fitting group, the sound processor was activated 1 day after surgery, whereas in the classic fitting group, it was activated 4 weeks after surgery. The study investigated whether early fitting had a negative effect on wound healing and compared electrophysiological parameters between the two groups.</div></div><div><h3>Results</h3><div>In both groups, the most common early side effects were pain, redness, and swelling. In both groups, 2 patients (5.7 %) required flap revision. The electrode impedance (EI) and most comfortable loudness level (MCL) values were lower in the early fitting group than in the classic fitting group at the initial measurements. However, no significant difference was observed in measurements after 1 month.</div></div><div><h3>Conclusion</h3><div>Early fitting of the sound processor after surgery did not adversely affect wound healing and is considered a viable approach. Although the electrode impedance and MCL values were lower in the early fitting group in the short term, similar results were obtained in the long term. Early fitting may reduce the procedure cost, particularly for patients who travel long distances to reach the treatment center.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112273"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Botox injections with and without general anesthesia for pediatric sialorrhea: A cost, efficacy, and safety analysis","authors":"Michael M. Lindeborg,&nbsp;Alyssa M. Civantos,&nbsp;Michelle Florentine,&nbsp;Anna K. Meyer,&nbsp;Kristina W. Rosbe","doi":"10.1016/j.ijporl.2025.112270","DOIUrl":"10.1016/j.ijporl.2025.112270","url":null,"abstract":"<div><h3>Objective</h3><div>Ultrasound-guided salivary gland Botulinum toxin A (Botox) injections are often used in pediatric patients with refractory sialorrhea, performed with or without general anesthesia. This study aims to compare outcomes and costs between these methods.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Tertiary children's hospital.</div></div><div><h3>Methods</h3><div>Patients with chronic sialorrhea refractory to medical therapy who underwent Botulinum toxin A injections between 2012 and 2023 under general anesthesia (n = 50; 126 injections) were compared to those performed without general anesthesia (n = 31; 116 injections). Sociodemographic factors, clinical history, and injection regimen were recorded. Available billing data from this time period was used to compare costs.</div></div><div><h3>Results</h3><div>Pediatric patients who underwent Botulinum toxin A injections without general anesthesia did not have statistically significant differences in post-injection cessation of anticholinergic medications (AOR = 0.980, [0.29, 3.29]), family-reported improvement in sialorrhea (AOR = 3.25, [0.58, 18.1]), admissions for aspiration pneumonia within the year (Coefficient = 0.260, [-0.22, 0.75]), or progression to sialorrhea surgery (AOR = 0.374, [0.07, 2.16]) compared to those performed under general anesthesia. Amongst patients who underwent repeat injections, there were no significant differences in the average number of injections (p = 0.41) or time between injections (p = 0.16). Botulinum toxin A injections performed in the outpatient setting ($1374.49) had significantly lower costs compared to injections performed under general anesthesia ($5077.13) (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Pediatric patients undergoing Botulinum toxin A injections with and without general anesthesia have similar efficacy and quality outcomes. Exploring the advantages of Botulinum toxin A injections without general anesthesia could lead to improved access, reduced risks of general anesthesia, and reduced costs to the medical system.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112270"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Inside-out” otoplasty in school-age children: Clinical and aesthetic results","authors":"Aynur Aliyeva ,&nbsp;Ramil Hashimli","doi":"10.1016/j.ijporl.2025.112268","DOIUrl":"10.1016/j.ijporl.2025.112268","url":null,"abstract":"<div><h3>Aim</h3><div>Prominent ears are a common congenital deformity that can cause significant psychological distress, especially in school-age children. This study aims to evaluate the clinical and aesthetic outcomes of the ‘’inside-out’’ otoplasty technique in addressing prominent ears in children aged 7 to 17.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on 20 children (5 boys, 15 girls) who underwent bilateral ‘‘inside-out’’ otoplasty. Postoperative outcomes were evaluated at one year using the Global Aesthetic Improvement Scale (GAIS) and Visual Analog Scale (VAS) to assess clinical success and parental satisfaction. The procedure focused on reshaping the ear cartilage internally and externally to form natural helical and antihelical folds.</div></div><div><h3>Results</h3><div>Among the 20 patients, 60 % were rated as \"very much improved” on the GAIS scale, 30 % as \"much improved,” and 10 % as \"improved.” No cases of \"no change” or \"worse” were observed. Additionally, 95 % of parents reported being \"very” or \"completely” satisfied with the appearance and symmetry of their children's ears, reflecting a high level of aesthetic and clinical success. Visual Analog Scale (VAS) scores demonstrated significant satisfaction, with all patients scoring between 1 and 3, further confirming the positive clinical and psychological outcomes of the ‘‘inside-out’’ otoplasty technique.</div></div><div><h3>Conclusion</h3><div>The \"inside-out” otoplasty technique effectively corrects prominent ears in school-age children, providing aesthetic and psychological benefits. Early intervention improves ear appearance, boosts social integration, and enhances self-confidence. The procedure is safe and does not impact ear growth, making it a valuable early treatment option for children with prominent ears.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112268"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of social determinants of health on pediatric tonsillectomy","authors":"Sarah R. Sutton ,&nbsp;Kelsey A. Duckett ,&nbsp;Paul J. Nietert ,&nbsp;Marvella E. Ford ,&nbsp;Phayvanh P. Pecha","doi":"10.1016/j.ijporl.2025.112271","DOIUrl":"10.1016/j.ijporl.2025.112271","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if health disparities impact pediatric tonsillectomy rates.</div></div><div><h3>Introduction</h3><div>Inequities in pediatric tonsillectomy have been identified in individual studies, however, a systematic review characterizing how the specific social determinants of health impact differences in receipt of pediatric tonsillectomy is needed.</div></div><div><h3>Data sources</h3><div>PubMed, Scopus, and CINAHL databases.</div></div><div><h3>Review methods</h3><div>A systematic review was performed in accordance with the PRISMA guidelines. The literature search aimed to capture all articles published through August 2022. Included articles evaluated tonsillectomy for the treatment of tonsillitis and/or obstructive sleep-disordered breathing in patients less than 21 years in which one or more social determinants of health were evaluated.</div></div><div><h3>Results</h3><div>A total of 801 unique articles were identified. Of those, 22 met inclusion criteria. Eight studies (36 %) evaluated tonsillectomy in the context of race, of which all showed that Black children underwent tonsillectomy at significantly lower rates than their White counterparts. Nine studies (41 %) evaluated insurance status, with population-based studies concluding that tonsillectomy utilization was higher in patients with public insurance. Studies of race and insurance were all from the United States. Eight studies (36 %) assessed socioeconomic status and six (28 %) assessed geographic location; however, these latter factors were difficult to compare given the varying metrics and locations among studies.</div></div><div><h3>Conclusion</h3><div>This systematic review shows that Black children undergo tonsillectomy at lower rates than White children, and children with public insurance undergo tonsillectomy at higher rates than children with other insurance types in the United States. Findings for rurality and socioeconomic status were heterogenous given regional and national differences in study settings.</div></div><div><h3>Level of evidence</h3><div>I.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112271"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of two different video demonstrations on pain and anxiety in children undergoing adenotonsillectomy: A randomized controlled trial","authors":"Mihriye Koca ,&nbsp;Meltem Kürtüncü ,&nbsp;Aylin Kurt","doi":"10.1016/j.ijporl.2025.112267","DOIUrl":"10.1016/j.ijporl.2025.112267","url":null,"abstract":"<div><h3>Aim</h3><div>The study was conducted to determine the effect of two different video demonstrations on pain and anxiety in children undergoing adenotonsillectomy.</div></div><div><h3>Methods</h3><div>This randomized controlled trial (NCT06339866) was conducted by randomly assigning children aged 6–12 years who underwent adenotonsillectomy to three groups (animation group = 34, cartoon group = 32 and control group = 32). Data were collected using Sociodemographic Questionnaire, Wong-Baker Faces Pain Rating Scale, Child Anxiety Scale-Conditioning (CAS-C).</div></div><div><h3>Results</h3><div>The pain score of the children in the control group was found to be significantly higher than that of the other groups (p &lt; 0.05). Furthermore, the pain score of the children in the cartoon group was found to be significantly higher than that of the children in the educational animation group (p &lt; 0.05). In all of the parent and nurse assessments, the mean scores of the children in the education group were found to be lower after surgery compared to the preoperative period (p &lt; 0.001). A negative correlation was observed between Wong-Baker Faces Expressions Pain Rating Scale scores and change in CAS-C scores (p &lt; 0.05). The changes in CAS-C scores accounted for 26.1 % of the total variance in pain scores according to the children's assessment, 19.0 % according to the parents' assessment, and 42.6 % according to the nurses' assessment. The intraclass correlation analysis was conducted to assess the agreement between the mean scores of children, parents, and nurses on the Wong-Baker Faces Expressions Pain Rating Scale and the CAS-C. The results demonstrated excellent agreement (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The use of educational animation and cartoons in the preoperative period has a significant effect on reducing postoperative anxiety and pain levels in children. The use of educational animation was found to be the most effective method. In future studies, it is recommended that more impressive videos and presentations with technological developments be used comparatively both in children undergoing adenotonsillectomy and in children undergoing different surgical procedures.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112267"},"PeriodicalIF":1.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive linguistic abilities in school-aged children with repaired cleft lip and palate: A systematic review","authors":"Pushpavathi Mariswamy ,&nbsp;Sreeraj Konadath ,&nbsp;Prashanth Prabhu ,&nbsp;Kavassery Venkateswaran Nisha ,&nbsp;Yashaswini Channabasavegowda ,&nbsp;Meghana Ningaraju","doi":"10.1016/j.ijporl.2025.112246","DOIUrl":"10.1016/j.ijporl.2025.112246","url":null,"abstract":"<div><h3>Aim &amp; objective</h3><div>The present review aimed to investigate cognitive-linguistic abilities in children with cleft lip and palate (CLP) with a mean age less than 18 years, using PRISMA framework. The objective is to synthesize and provide insights into how these cognitive processes may differ between children with CLP and typically developing children.</div></div><div><h3>Method</h3><div>A comprehensive literature search was conducted across electronic databases covering studies published between January 2000 and December 2023. Seven eligible studies were included with comparison groups and were selected based on the Population, Intervention, Comparison, Outcome, and Study Design criteria outlined by Methley et al. [38]. Data extraction was performed using the Rayyan QCRI system to develop a customized form, and study quality was assessed using the Appraisal Tool for Cross-Sectional Studies. The selected studies explored various subdomains of cognitive-linguistic, such as Attention, Memory, Executive Function, and Reading comprehension, in children with Repaired CLP.</div></div><div><h3>Results</h3><div>Children with CLP demonstrated comparable or superior performance to their typically developing peers in some attention measures, such as the continuous performance test (CPT-II), suggesting potential compensatory mechanisms. Contrasting findings regarding memory performance, including strengths in verbal memory for familiar stimuli, suggest that children with CLP may develop alternative neurological strategies for language learning. These findings emphasize that children with CLP often achieve developmental milestones comparable to their peers despite facing specific cognitive-linguistic challenges.</div></div><div><h3>Conclusion</h3><div>This review highlights the importance of understanding the Cognitive-Linguistic challenges faced by children with CLP, emphasizing the need for targeted interventions to support their academic and developmental outcomes. Early identification and tailored interventions remain pivotal to mitigating academic and developmental difficulties while supporting long-term outcomes.</div></div>","PeriodicalId":14388,"journal":{"name":"International journal of pediatric otorhinolaryngology","volume":"190 ","pages":"Article 112246"},"PeriodicalIF":1.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}